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22nd Annual Louis A. Cancellaro Primary Care Conference
Monday – Thursday
March 19 - 22, 2018
Millennium Centre, Johnson City, Tennessee
Overall Conference Objectives
• Evaluate patients of all ages using most current medical trends. • Demonstrate an increased knowledge base on up-to-date
pharmacological agents available. • Determine the most appropriate treatment for patients in the
primary care setting. • Apply knowledge to current panel of patients. • Demonstrate understanding of current medications available for
treatment of chronic illnesses. • Compare the current diagnosis treatment plan to alternative
medicines and treatment.
Target Audience
• This conference is designed for all physicians, family medicine physicians, internal medicine physicians, physical therapists, psychiatrists, psychologists, surgeons, emergency medicine, advanced practice nurses, physician assistants, pharmacists, nurses, EMS providers, public health providers, billing and coding personnel, medical students, APN/PA students, nursing students, and EMS students.
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AGENDA
Monday March 19, 2018
7:15 AM – 7:45 AM Breakfast, Registration, and Exhibitors
7:45 AM – 8:00 AM Welcome and Pre-conference Announcements
Learning Objectives: As a result of participating in this activity, the attendee will be able to…
8:00 AM – 9:00 AM Pulse Nightclub: One of the Deadliest Mass Shootings in U.S. History Joseph Ibrahim, MD Orlando Health Physicians Surgical Group
• Learn to diminish or eliminate the risk of death or permanent disability
following traumatic events. • Implement disaster preparedness drills. • Recognize the difference between
“routine” and “crisis.”
9:00 AM – 10:00 AM Keeping Children and Adolescents with Down Syndrome Healthy: Medical Updates for Physicians Brian G. Skotko, MD, MPP Massachusetts General Hospital
• Identify resources to maximize the health and well being of people with Down syndrome.
• Use the latest advances in healthcare for children and young adults with Down syndrome.
10:00 AM – 10:15 AM Break and Exhibitors
10:15 AM – 11:15 AM
The Latest and Greatest Research about Down Syndrome
Brian Skotko, MD, MPP Massachusetts General Hospital
• Describe the newest evidence-based treatments for obstructive sleep apnea in people with Down syndrome.
• Explain the outcomes of recent clinical research trials aiming to improve cognitive functioning in persons with Down syndrome.
• Understand the shifting demographics related to people with Down syndrome in the US.
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11:15 AM – 12:15 PM
Evidence-based Cancer Screening: Current Guidelines for Primary Care. What, When, Why? Devapiran Jaishankar, MD Department of Internal Medicine Quillen College of Medicine East Tennessee State University
• Discuss cancers that need to be screened.
• Choose appropriate screening tools for various cancers.
• Discuss risks vs. benefits of screening with patients.
• Understand research data steering national guidelines.
12:15 PM – 1:00 PM Lunch and Exhibitors
1:00 PM – 2:00PM Fine Needle Aspiration and its Role in the Primary Care Setting Yasmin Elshenawy, MD Outpatient Cytopathology Center
• Understand the clinical role of fine needle aspiration.
• Identify diagnostic approaches to palpable and non-palpable masses.
2:00 PM – 4:30 PM
A break will offered mid-way through the program.
End of Life Scenarios and Discussion
Moderator James Holt, MD Department of Family Medicine, Quillen College of Medicine East Tennessee State University
Performers: Ellie Barnett Laura Berry Pat Cronin David Carter Debbie Shoun
• Counsel patients and families appropriately about options in difficult end-of- life circumstances.
• Discuss potential management options in difficult end-of-life circumstances.
• Work more effectively with families divided over end-of-life decisions.
4:30 PM Closing Remarks
Please remove all personal items at the end of the day; the ballroom is being used for another function in the evening and your items will not be secure.
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Tuesday March 20, 2018 7:30 AM – 7:50 AM Breakfast, Registration, and Exhibitors
7:50 AM – 8:00am
Welcome and Announcements
8:00 AM – 9:00 AM
From Slightly Stressed to a Hot Mess: Working with Anxiety Disorders in Primary Care Myra Q. Elder, PhD James H. Quillen VA Medical Center
• Identify changes to the classification of anxiety disorders in the DSM-V.
• Ask essential questions to help clarify a diagnosis of anxiety disorder.
• Provide patients with tools to help them reduce their symptoms.
• Understand medication treatment options.
9:00 AM – 10:00 AM How to Enjoy Workers’ Compensation
Robert Snyder, MD Medical Director for Tennessee Workman’s Compensation
• Identify the unique requirements for patients of workers’ compensation.
• Examine the issues surrounding causation analysis and return-to-work.
10:00 AM – 10: 15 AM Break and Exhibitors
10:15 AM – 11:15 AM
Human Papillomavirus Virus (HPV) Review and Prevention Update
Linda McClure, APN Northeast Tennessee Regional Health Office Tennessee Department of Health
• Recognize common HPV myths and integrate evidence-based information into daily clinical practice.
• Identify and apply effective strategies to overcome barriers to HPV vaccination.
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11:15AM – 12:15PM The Health Wagon: Nurses Empowering Rural Communities
Teresa Gardner Tyson, DNP, MSN The Health Wagon
Paula Hill, DNP, MSN The Health Wagon
• Discuss innovation, such as drone use in rural settings.
• Define challenges the rural free clinic must overcome on a daily basis.
• Discuss access to healthcare.
12:15PM – 1:00PM Lunch
1:00PM – 2:00PM
HIV Pre-exposure Prophylaxis (PrEP) in the Primary Care Setting David Kirschke, MD Northeast Tennessee Regional Health Office Tennessee Department of Health
• Explain the rationale and indications for HIV PrEP.
• Understand the data supporting PrEP. • Describe the pre-initiation evaluation.
2:00PM-3:00PM Building a Resilient Team Teresa Stephens, PhD, MSN, RN College of Nursing Medical University of South Carolina
• Describe the concept of resilience as it pertains to the interprofessional team.
• Describe the relationship between resilient teams and the quadruple aim.
• Describe at least two strategies to create a resilient team.
• Develop a model for a resilient team.
3:00PM -3:15PM Break
3:15PM- 4:30PM Continued Building a Resilient Team
Please remove all personal items at the end of the day; the ballroom is being used for another function in the evening and your items will not be secure.
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Wednesday March 21, 2018
7:30 AM – 7:50 AM Breakfast, Registration, and Exhibitors 7:50 AM – 8:00 AM Welcome and Announcements 8:00 AM – 9: 00AM Ostomy Related
complications: A Review Mona Baharestani, PhD, APN James H. Quillen VA Medical Center
• Describe stoma characteristics (e.g., anatomical type, presentation, construction, and effluent).
• Identify common stoma and peri-stomal complications and describe the management plans.
9:00 AM – 10:00 AM Hepatitis C (HCV): The Patients in Your Primary Care Clinic
Penny Thayer, FNP, BC Hepatitis C Program Coordinator Clinic
• Identify risk factors of Hepatitis C. • Determine treatment options. • Identify follow-up options after
sustained virologic response (SVR).
10:00 AM – 10:15 AM Break and Exhibitors
10:15 AM – 11:15 AM
Advanced Directives/Do Not Resuscitate Orders Angela May, MD ACOS Geriatrics and Extended Care/PMRS James H. Quillen VA Medical Center
• Understand the need for goals of care conversation and documentation of life sustaining treatment preferences.
• Relate how life-sustaining treatments relate to goals of care.
11:15 AM – 12:15 PM The Legal Side of Pain
Jennifer Bolen, JD The J. Bolen Group
• Identify common theories of liability raised in cases charging physicians with inappropriate prescribing resulting in the death of a patient.
• List basic elements of risk mitigation and response protocol for the physicians use with staff and patients. 12:15 PM – 1:00 PM
Lunch
Please remove all personal items at the end of the day; the ballroom is being used for another function in the evening and your items will not be secure.
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Skill Sessions
A
1:00 PM – 2:30 PM
EKG/ABG
Reid Blackwelder, MD Chair, Department of Family Medicine, ETSU
15 people max Room 230
Break at 2:30-2:45
2:45 PM – 4:30 PM
Ultrasound Applications for Joints
Benjamin England, MD Appalachian Orthopedics 15 people max Room 225
B
1:00 PM – 2:30 PM
Ultrasound Applications for Joints
Benjamin England, MD Appalachian Orthopedics
15 people max Room 225
Break
2:30PM -2:45PM
2:45 PM – 4:30 PM
EKG/ABG
Reid Blackwelder, MD Chair, Department of Family Medicine, ETSU
15 people max Room 230
C
1:00 PM – 1:55 PM
Ultrasound/Abscess vs. Cellulitis and Detection of Pediatric Long Bone Fractures.
Allison Schafer, DO Department of Family Medicine, ETSU
12 people max Room 264
1:55 PM-2:55 PM
Dermascopy
James Holt, MD Professor, Department of Family Medicine and Geriatrics, ETSU
12 people max
Room 260
Break
2:55 PM – 3:15PM
3:15 PM – 4:30 PM
Pediatric Pulmonology
Barbara Stewart, MD Director of Pediatric Pulmonology, Department of Pediatrics, ETSU
*Stethoscope preferred 12 people max
Room 215
D
1:00 PM – 1:55 PM
Dermascopy
James Holt, MD Professor, Department of Family Medicine and Geriatrics, ETSU
12 people max
Room 260
1:55 PM-2:55 PM
Pediatric Pulmonology
Barbara Stewart, MD Director of Pediatric Pulmonology, Department of Pediatrics, ETSU *Stethoscope preferred
12 people max
Room 215
Break
3:00PM – 3:15PM
3:15 PM – 4:30 PM
Ultrasound/Abscess vs. Cellulitis and Detection of Pediatric Long Bone Fractures.
Allison Schafer, DO Department of Family Medicine, ETSU
12 people max
Room 264
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Thursday March 22, 2018
7:30 AM – 7:50 AM Breakfast, Registration, and Exhibitors
7:50 AM – 8:00 AM Welcome and Announcements
8:00 AM – 9:00 AM
How to Document for Star Ratings. Document the M.E.A.T. for Diagnosis, and Documentation for Compliance Paula Wright, CPC, CPMA Compliance Officer, Quillen ETSU Physicians
• Recognize the importance of documenting to the highest level of specificity.
• Assess medical documentation for compliance.
9:00 AM – 10:00 AM
Calcium Metabolism Disorders Deepika Nallala, MD Quillen Physicians, ETSU
• Propose an appropriate plan of care for patients diagnosed with a specific metabolic bone or calcium disorder.
• Identify measures that can evaluate the efficacy of treatment plans in assessing patient outcomes in those with a metabolic bone or calcium disorder.
10:00 AM – 10:15AM Break and Exhibitors
10:15 AM – 11:15 AM Under Pressure: An Update on the Treatment of Hypertension Ryan Tewell, PharmD Gatton College of Pharmacy East Tennessee State University
• Compare and contrast published hypertension guidelines.
• Select an appropriate blood pressure goal for a hypertensive patient.
• Design a treatment regimen for hypertension.
11:15 AM – 12:15PM
Vestibular Rehabilitation and Concussion Management Bridgette Wallace, PT, DPT
• Recognize causes of symptoms during the patient interview.
• Differentiate between dizziness and vestibular irritation.
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**Meets Tennessee prescribing practices credit requirement.**
360 Balance & Hearing Center
• Analyze common symptoms with vestibular, visual, and/or cervicogenic involvement.
12:15 PM-1:00 PM Lunch and Exhibitors
1:00 PM –3:00 PM Tennessee Opioid Safe Prescribing Guidelines**
Tim Smyth, MD Catalyst Health Solutions
• Understand State of Tennessee guidelines on opioid prescribing.
• Understand the concept of MEDD. • Appropriately assess and document
chronic pain complaint. • Appropriately assess patients for
pathologic use of pain medication.
3:00 PM – 3:15 PM Break and Exhibitors
3:15 PM –4:15 PM Drug-Induced Liver Injury (DILI): Update
Chakradhar Reddy, MD Division of Gastroenterology Department of Medicine Quillen of College of Medicine James H. Quillen VA Medical Center
• Identify patterns of drug-induced liver injury.
• Present a treatment plan for drug-induced liver injury.
4:15 PM – 4:45 PM closing remarks
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This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the Quillen College of Medicine, East Tennessee State University. The Quillen College of Medicine, East Tennessee State University is accredited by the ACCME to provide continuing medical education for physicians.
The ETSU Quillen College of Medicine designates this live activity for a maximum of 30.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Please allow 10 days for credits to be applied.
East Tennessee State University College of Nursing is an approved provider of continuing nursing education by the Tennessee Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Up to 29 hours, 15 minutes (29.25 CH which includes 2.00 CH for pharmacology CE) if participating in skills sessions. If not participating in skills sessions; 25 hours, 15 minutes (25.25 CH that includes 2.00 for pharmacology CE) have been approved for this conference.
Claim only the credit commensurate with the extent of participation in this activity East Tennessee State University College of Nursing implements a $15 certificate fee per conference. This fee covers the following: cost for being a provider of nursing contact hours, supplies, and nursing coordinator's time for completing necessary paperwork. If you would like to claim Nursing Contact Hours, please contact [email protected]. Please select nursing credits on the request for credit form and attendance credit, and sign in at the registration desk.
Pharmacists will have access to 7.0 ACPE Credits accredited by The Tennessee Pharmacists Consortium for Education (TPCE). TPCE is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. To receive ACPE Credit, visit the Tennessee Pharmacists Consortium for Education website at Tpce.learningexpressce.com. UNIVERSAL ACTIVITY NUMBER (UAN): 0575-0000-18-037-L04-P A completion code will be provided to pharmacists at the conclusion of this event. Please stop by the registration desk to receive. You will have 60 days after the date of this program to complete the evaluation and receive credit.
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This course is approved for the awarding of up to 3 continuing education units (CEUs) to physical therapists and physical therapist assistants.
AAFP AAFP members can submit this event for elective credit.
Dental CME Category 1 credits are accepted by the Board of Dentistry
Conflict of Interest Disclosure Each individual with influence over content has completed a disclosure form indicating whether they or members of their immediate family have a financial interest/arrangement or affiliation that could be perceived as a real or apparent conflict of interest related to the content or supporters involved with this activity. The presenters and committee members listed below have reported no financial relationships with commercial interests.
Presenter/Committee Member Conflict of Interest
Caroline, Abercrombie, MD None Mona Baharestani, PhD, APN None Ellie Barnett None Laura Berry, BFA None Reid Blackwelder, MD None Michael Bourassa, PT, DPT None David Carter None Pat Cronin, MS None David Cluck, PharmD, BCPS None Judy East, FNP, RN None Myra Q. Elder, PhD None Yasmin Elshenawy, MD None Benjamin England, MD None Marta Gouge, BS, CHCP None Patty Harnois-Church, PhD Candidate, MSN, MHA, RN None Diana Heiman, MD None Paula Hill, DNP, MSN None James Holt, MD None Devapiran Jaishankar, MD None
Patricia King, PT, DPT, PhD, OCS None
David Kirschke, MD None
Linda McClure, APN None Angela May, MD None Deepika Nallala, MD None Allison Schafer, DO None Debra Shoun, BSW None Tim Smyth, MD None Robert Snyder, MD None
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Teresa Stephens, PhD, MSN, RN None Barbara Stewart, MD None Ryan Tewell, PharmD None Teresa Gardner Tyson, DNP, MSN None Penny Thayer, FNP, BC None Paula Wright, CPC, CPMA None
The presenters and committee members listed below have reported a financial relationships with commercial interests: Presenter or committee member
Conflict of Interest
Jennifer Bolen, JD Salary or Consultant fees/Generation Partners, MTL Solutions, Abbott, Pernix
Joseph Ibrahim, MD Salary or Consultant Fees / Prytime Medical
Chakradhar Reddy, MD Remuneration and advisory board/ Gilead Sciences, Allergan Pharma, Salix Pharma, Echosens
Brian G. Skotko, MD, MPP Research and /or Grant Support / Hoffmann-LaRoche, Inc. and Salary/Consultant fees Gerson Lehrman Group
Bridgette Wallace, PT DPT Remuneration/Consultant fees / Physio Control
Commercial Support Disclosure
East Tennessee State University’s Quillen College of Medicine, Office of Continuing Medical Education (OCME) holds the standard that its continuing medical education programs should be free of commercial bias and conflict of interest. It is the policy of the OCME that each presenter and planning committee member of any CME activity must disclose any financial interest/arrangement or affiliation with corporate organizations whose products or services are being discussed in a presentation. All commercial support of an educational activity must also be disclosed to the learners prior to the start of the activity. There is no commercial support reported for this activity.
Mark your calendar for 2019 now!
March 18-20, 2019
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New CME Management System
The ETSU Office of Continuing Medical Education is excited to announce that we have implemented a new online CME management system as of March 1, 2018. To ensure you maintain an accurate record of your CME credits earned prior to March 1, you will need to download and save your transcript from the current system. Credits earned prior to March 1, 2018 will not transfer into the new system, and we do not want you to lose these valuable credits. The good news is that we will walk you through the process every step of the way, via detailed email and online instructions. We appreciate your patience and assistance through the upcoming transition. Please be sure to watch for our emails!
Website: www.etsu.edu/cme Office of Continuing Medical Education
Phone: 423-439-8081
